The Interpretation of Joint Line Tenderness in Meniscal Injury

반원상 연골판 손상에서의 관절선 압통의 해석

  • Lee, Yong-Seuk (Armed Forces Yangju Hospital, Chung-Ang University Medical Center) ;
  • Jung, Young-Bok (Armed Forces Yangju Hospital, Chung-Ang University Medical Center) ;
  • Choi, Sung-Woo (Armed Forces Yangju Hospital, Chung-Ang University Medical Center) ;
  • Hwang, Joon-Sung (Armed Forces Yangju Hospital, Chung-Ang University Medical Center) ;
  • Kim, Man-Kyung (Armed Forces Yangju Hospital, Chung-Ang University Medical Center) ;
  • Lee, Jong-Suk (Armed Forces Yangju Hospital, Chung-Ang University Medical Center) ;
  • Suh, Dong-Hyun (Armed Forces Yangju Hospital, Chung-Ang University Medical Center)
  • 이용석 (국군 양주 병원 정형외과) ;
  • 정영복 (중앙대학교 의과대학 정형외과학교실) ;
  • 최성우 (국군 양주 병원 정형외과) ;
  • 황준성 (국군 양주 병원 정형외과) ;
  • 김만경 (국군 양주 병원 정형외과) ;
  • 이종석 (중앙대학교 의과대학 정형외과학교실) ;
  • 서동현 (국군 양주 병원 정형외과)
  • Published : 2006.10.31

Abstract

Purpose: Meniscal injuries are very common sports problems and indications for knee surgery. We analyzed the effectiveness of joint line tenderness retrospectively. Materials and Methods: From May 2005 to June 2006, 76 knees which were diagnosed meniscal injury and performed arthroscopic surgery by same surgeon at military hospital were included. We analyzed sensitivity, specificity, accuracy, positive predictive value, and negative predictive value of joint line tenderness in meniscal diagnosis. Results: The joint line tenderness gave such results (78.8%, 32.6%, 52.6%, 47.3%, 66.7% for sensitivity, specificity, accuracy, positive predictive value, negative predictive value respectively). We got similar results in analyses with medial meniscal lesion, lateral meniscal lesion, and combined instability patients. Conclusion: The joint line tenderness is a easy and comfortable maneuver but, it's effectiveness is low when it is used lonely The composite examinations including MRI and diagnostic arthroscopy for meniscal injuries of the knee perform much better than joint line tenderness alone.